CAD/CAM Fabricated Complete Dentures: From Concept to Reality
LOD-214-00
Dr. Charles Goodacre
This presentation will show the procedures used to record the clinical information needed for the fabrication of conventional complete dentures using CAD/CAM technology as well as the fabrication process itself.<BR><BR>Recently, the technology has been applied to implant overdentures and fixed complete arch provisional prostheses used in conjunction with the immediate loading of dental implants and these procedures are shown.
Risks Endangering Bone Stability Around an Implant
LOD-208-00
Dr. Georg-H. Nentwig
The risks that endanger bone stability around an implant can be related to trauma, loading, anatomy, implant, reconstruction, or the patient. This lecture will provide hints and scientific background about each one of these aspects so that you can manage and even avoid these risks.<BR><BR>Bone stability is the key for long-term success of an implant. But, there are two areas that must be identified in maintaining this stability. We will emphasize the importance of the implant abutment area where the bone is adjacent to the soft tissue. This bone is critical for supporting the soft tissue and for ensuring the health of the soft tissue and avoiding bacterial contamination.<BR><BR>This lecture will show you what you can do to improve a weak bone to avoid an early functional mistake or failure of the total reconstruction. We figured out that we can add, after the static phase, after the second stage surgery, after the load has started, a bone training phase that can improve the original weak structures so much that you can rely on it's stability even if you apply a more risky restoration.<BR><BR>We will discuss how to avoid esthetic failues, an unpleasent situation for both the patient and the dentist, that are often due to lack of bone right from the beginning.<BR><BR>Finally we will discuss the option to place an implant in a sub-crestal position which is only possible if you use an implant that has a stable cone connection. The cone connection will avoid any bacterial release, and will therefore avoide any bone loss in the cervical region caused by this bacteria contamination. With this concept we can achieve long lasting esthetic results.
LOD-205-00
Dr. Todd Schoenbaum
This program provides an overview of the basics of efficient, effective dental photography. Guidelines will be given for equipment selection, appropriate clinical techniques, and camera settings.<BR><BR>Also included are the basics of dental shade photography, use of contrastors, and patient communication. The goal of this program is provide an efficient framework for the beginning dental photographer to select and use their equipment accurately and efficiently.
Unusual TMD Cases - Unusual Treatment
LOD-196-00
Dr. Ilia Roussou
In this lecture, we will discuss unusual Temporomandibular Disorders (TMD) cases and unusual treatments.<BR><BR>We will focus specifically on occlusion and how the relationship of the dental arches interacts with the stability of the Stomatognathic system.<BR><BR>Occlusion is one of the most demanding aspects of dentistry, we all know about the term occlusion confusion.<BR><BR>Although occlusion used to be the main etiological factor for Temporomandibular Disorders and many dental treatments were performed in order to address the pain symptoms, nowadays the literature suggest that the static relationship of the dental arches is rarely the etiological factor for an intracapsular TM joint disorders or a masticatory muscles disorders, In some cases though, were the occlusion compromises the orthopedic stability of the stomatognathic system, once the pain symptoms are treated the dental problem needs to be investigated as a possible etiological factor of the TMD symptoms.
Implant placement in fresh extraction sockets. Key decision factors
LOD-193-00
Prof. Mariano Sanz
It is well established that tooth extraction will result in an apico-coronal as well as bucco-lingual reduction of the alveolar ridge, mostly in the buccal aspects of the extraction site.<BR><BR>In order to avoid this physiological bone loss some clinicians have advocated the immediate installation of implants in fresh extraction sockets. Different clinical studies have evaluated the impact of this implant placement surgical approach on different outcomes, such as: implant survival, bone crest alterations and aesthetic results.<BR><BR>However, in spite of these reports, there is a lack of well-designed clinical trials that have evaluated these outcomes systematically and there is a lack of knowledge on the possible factors associated with different hard and soft tissue outcomes of this surgical protocol.<BR><BR>This presentation will review the results from clinical trials evaluating the immediate implant placement approach and we hall review the important risk factors (implant design, implant position, implant location, thickness of bony walls, etc.) involved in the clinical outcome.<BR><BR>Finally we shall provide some clinical recommendations on the use of this surgical approach.
Predictable and Successful Maxillary Sinus Augmentation
LOD-192-00
Dr. Toshiro Sugai
In this presentation, we will identify safer and more predictable maxillary sinus augmentation procedures. We will discuss how to utilize CT imaging to evaluate and interpret the 3D anatomy of the sinus, including ostium, superior alveolar artery, and septa. Dr. Sugai will describe how to predictably lift the sinus membrane and avoid complications.
Predictable Soft Tissue Grafting for Esthetics in Thin Periodontium
LOD-191-00
Dr. Paul Lin
This presentation will discuss the thin periodontium and how to utilize this to achieve predictable soft tissue grafting for esthetics.<br /><br />Soft tissue grafting by root coverage and augmentation can improve the facial esthetics not just for natural teeth, but also for implants.<br /><br />By utilizing the same concept of placing the soft tissue on the thin periodontium we can help augment the tissue around implants and dentures and improve and enhance the facial esthetics.<br /><br />Animations will illustrate this concept and provide insight as to how we take the soft tissue away from the pallate and harvest it in an elegant, more predictable fashion.<br /><br />This will also show how to secure the covering flap so the patient will not experience any pain after the surgery.<br /><br />This presentation is intended to increase your understanding, comfort and confidence in performing soft tissue grafting in a more predictable way.
The All on 4 Concept - Diagnosis to Delivery - 4 Lecture Set (Parts 1 - 4)
LOD-190-00
Dr. Saj Jivraj
<br><strong>PART 1: Diagnosis and Treatment Planning, Concepts of Immediate Loading</strong><BR><br>A. Clinical and radiographic evaluation of the patient<BR>B. Specific clinical factors which determine the sucess of treatment<br>C. Restorative space requirements<br>D. Principles of immediate loading (Science and Techniques)<hr><strong>PART 2: Principles of Graftless solutions and surgical Protocols</strong><BR><BR>A. What is All on 4?<BR>B. Principles of All on 4, armamentarium needed<br>C. Surgical protocols - flap design, implant placement, radiographic evaluation<BR>D. What the surgeon must know prior to placing implants<br>E. Communication between the restorative dentist and surgeon<hr><strong>PART 3: Clinical Patient Presentations<BR>Surgical and Prosthetic Protocols for Fabrication of a Full Arch Immediate Load Prosthesis</strong><BR><BR>A. Clinical treatment presentation of a dentate patient. Diagnosis, treatment planning and fabrication of the immediate load prosthesis<BR>B. Clinical treatment presentation of an edentulous patient. Diagnosis, treatment planning and fabrication of the immediate load prosthesis<hr><strong>Section 4 - Prosthetic principles and techniques for fabrication of the final prosthesis<BR>Complications and maintenance.</strong><BR><BR>A. Fabrication of the final prosthesis from Impressions to delivery<BR>B. CADCAM design of the titanium bar and laboratory procedures involved in fabrication of the final prosthesis<br>C. Commmon complications and how to address them<BR>D. Maintenance
The 3D Click Guide - A New Direction for Model-Based Guided Implant Placement
LOD-187-00
Dr. Lambert Stumpel
<p style="margin: 0px; text-align: justify;">Guided surgery holds the promise to place dental implants in predetermined positions; allowing many clinical decisions to be made before the actual surgical procedure. <br /> </p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Computer guided surgery has been made possible through the increased accessibility of (CB) CT technology. It allows clinicians who do not have the experience of placing 1000+ implants per year, to deliver, in selected cases, the same superior care as the master surgeons.</p> <p style="margin: 0px; text-align: justify;"><br /> </p> <p style="margin: 0px; text-align: justify;">Model based guided surgery has historically been in the shadow of its high tech cousin; until now. The 3 D Click Guide is a modularly adjustable surgical guide system. While primarily a model based system, utilizing minimally invasive bone sounding, it allows easy integration with CBCT as needed. It
A New Common Sense Approach to Full Mouth Rehabilitation Using Direct Composite and Limited Implants
LOD-185-00
Dr. Jose Luis Ruiz
<div style="text-align: justify;">All of us have patients who have destroyed their teeth usually due to occlusal disease...patients who have missing teeth. And, unfortunately, many of these patients do not have the funds to pay for a full mouth rehabilitation. And, even if they did, we do not believe that the full-mouth rehabilitations are ideal anymore.<br /> <br /> We see journal articles showing patients who have virgin teeth, and in the end they are treated with a full mouth of crowns. We know from experience in our practices that these patients do not do very well: The margins below the gums cause our patients to have unhealthy gums; and, then when they have caries below the gums, trying to treat this becomes a nightmare. That is why using minimally based super-gingival dentistry is the best for our patients. We do not have to grind the teeth. We can use new adhesive dentistry. And we can give our patients excellent results without having to destroy their natural teeth.<br /> <br /> We will examine cases where patients who might have traditionally been treated with full-mouth rehabilitation, are instead treated with bonded dentistry. In one case we will use direct composites and some indirect composites and almost no grinding on the natural teeth. Meanwhile, we are able to provide the patients with the esthetics and the function that the patient needs.<br /> <br /> We will discuss the seven signs and symptoms of occlusal disease which is a very practical way to learn how to diagnose occlusal disease on your patients.<br /> <br /> We will talk about smile design using the Dento-Facial Esthetic Diagnosis System.<br /> <br /> We will also cover the 3 Golden Rules of Occlusion which are the engineering principles that we need for durability.</div>